North Central Regional Trauma Council2017/10/10 · North Central Regional Trauma Council Executive...

North Central Regional Trauma Council Executive Committee Meeting

BJ’s Restaurant and Brewhouse

7960 E. Kellogg Ave, Wichita

October 10, 2017 6:00pm

Agenda Call to Order Dr. Goertzen

Approval of the minutes from the August 9, 2017 meeting

System Finance James Buller, Treasurer Treasurer’s Report

Education Executive Committee

2017 Education Request Update

2018 Regional Trauma Symposium Planning Committee

Proposal for Education Request Application

Acute Hospital Rachelle Giroux / Mary Gray Regional PI Dr. Breeding / Dr. Goertzen

Formation of Pre-PIPS committee

Regional PI Plan included in meeting packet Injury Prevention Tammy Ware / Dana Rickley Prehospital James Buller / Rocky Cramer Emergency Preparedness Sue Cooper Special Populations Tracy Cleary

Old Business Dr. Goertzen

New Business Dr. Goertzen

Announcements (Sharing)

Adjournment Dr. Goertzen

2017 Executive Committee Meetings October 11 Statewide Trauma Symposium Via Christi, Wichita

2017 ACT Meetings November 1 10:00am – 3:00pm Kansas Medical Society, Topeka

If you are unable to attend in person, conference call will be available. Conference Phone Number: 866-620-7326 Conference Code: 958 411 6860

DRAFT Minutes 8/9/2017 To Be Approved: 10/10/2017

Agenda Minutes Follow up

In Attendance Mary Gray, Tammy Ware, Rocky Cramer, Austin

Gillard, James Buller, Dana Rickley, Dr. Mark Banker,

Allen Van Driel, Rachelle Giroux, Tracy Cleary, Wendy

Gronau

Call to Order In Dr. Goertzen’s absence, Vice-Chairperson Mary

Gray called the meeting to order at 1:01 p.m.

Mary Gray

Minutes Rocky Cramer made a motion to approve the minutes

from the May 10, 2017 meeting. Tammy Ware

seconded. Motion passed.

System Finance The budget spreadsheet was included in the meeting packet and was accepted as presented by the committee with no opposition voiced. Wendy reminded the committee this current budget will go through June 30, 2018 and out of that will be the statewide symposium as well as the regional symposium in Spring 2018.

James Buller

Education

Education requests received to date were discussed. Ellsworth County Medical Center has requested $1,000 for a TNCC course, Salina Regional has requested $1,500 for a TNCC course, Cloud County Health Center has requested $850 to send a provider to ATLS, Memorial Health System has requested $1,000 to send four nurses to TNCC at SRHC. After much discussion regarding these courses and the remaining budget, James Buller moved with Dana Rickley’s second to approve the following requests:

TNCC~Ellsworth~$1,000

TNCC~SRHC~$1,500

ATLS~Cloud Co.~$850 Dana Rickley moved to approve the following request:

TNCC~Memorial~$200/attendee X 4=$800 Tammy Ware seconded. Motion passed.

North Central Kansas Regional Trauma Council Executive Committee Meeting Minutes

Mitchell County Hospital Health System, Beloit Meeting Minutes

August 9, 2017 1:00pm



The summary of evaluations from the 2017 regional trauma symposium were included in the meeting packet. Everyone agreed the symposium was a success.

Acute Hospital Nothing to report. Mary Gray/ Rachelle

Giroux

Injury Prevention Mary Gray would like the region to consider

purchasing B-Con kits in the future.

Tammy and Dana offered discussion about the

different injury prevention projects the region might

like to support, CarFit, SAFE Program, etc.

Tammy Ware/ Dana

Rickley

Prehospital Rocky reported the KEMSA conference begins

tomorrow at the Kansas Star Event Center in

Mulvane.

Darlene Whitlock and Marvin Van Blaricon have been

working on having an EMS Medical Director training

in the NC region. There was a meeting which took

place in Salina with several medical directors in

attendance. This meeting was to gather information

on the needs for NC medical directors.

Rocky Cramer/ James

Buller

Emergency

Preparedness

Sue Cooper has retired from SRHC and Greg

Brockway has replaced her. Tammy Wood, Sue, or

Greg should be invited to these meetings for updates.

Wendy will work with Jessica for Greg’s contact

information.

Sue Cooper/ Greg

Brockway

Special

Populations

EMS data collection is continuing with 57% having

reported. 6 services in the NC region still need to take

the survey and Tracy is reaching out to those folks to

help them through the process.

The pediatric readiness project is still in full swing

with 45 hospitals having completed the survey.

Tracy will be speaking with Rachelle and Mary about

becoming the Pediatric Emergency Care Coordinator

(PECC) for the NC trauma region.

Tracy Cleary



EMSC is sponsoring a full day of pre-conference

education at KEMSA (Kansas Emergency Medical

Services Association) in Mulvane tomorrow.

September is Pediatric Preparedness month.

Old Business Nothing to report.

New Business Nothing to report.

Trauma Program

Update

Included in the meeting packet was the Trauma

Registry data submission report. Wendy explained

this report is run for the region after each quarterly

deadline. Sam typically sends reminders just prior to

running the report but Wendy asked her this time to

not send a reminder until after the report is

generated to give a truer report for the region. The

query of the registry was run again on July 6 after

reminders were sent out. The reporting hospitals

remained the same at 85% reporting.

Wendy asked committee members to look over the

contact sheet and give her any corrections so the

region’s page on the trauma website can be updated.

Rocky Cramer had one correction of his service’s

address.

Wendy Gronau

Announcements /

Each Facility /

Agency

Discussion ensued regarding the location for the

October executive committee meeting which will be

in Wichita the evening before the statewide trauma

symposium. The committee asked Wendy to call

restaurants around the old town area for a room

where we could meet.

Mary Gray introduced Dr. Mark Banker who has been

practicing in Beloit since August 2016. Dr. Banker and

his wife are both physicians in Beloit.

The committee welcomed Austin Gillard to his first

meeting. Austin asked about the purpose of the

region so he can have a better understanding of his

role within the executive committee. Wendy

explained the main purpose is to create a regional

trauma system to decrease the occurrence and costs

All Members



associated with traumatic injuries in Kansas. Wendy

explained funds for regional activities come from fees

associated with Level IV trauma center designation as

well as a percentage of seatbelt fines.

Wendy asked for volunteers to help update the

regions trauma plan. Meetings for this will be

conducted by conference call and webinars. Anyone

interested is encouraged to contact Wendy and let

her know.

Allen Van Driel reported the Blaine Miller will be

retiring at the end of the week.

Adjournment Mary Gray adjourned the meeting at 2:17 p.m.

2016 CARRYOVER BALANCE $13,256.39

2017 FUNDS $28,335.00

2017 BEGINNING BALANCE $41,591.39

DATE EXPENSE DESCRIPTION CHECK PAYABLE TO AMOUNT BALANCE

4/18/2017 GARLOW ATLS SCHOLARSHIP CLOUD CO HEALTH CENTER 575.00 $41,016.39

4/18/2017 ENPC COURSE AWARD SMITH CO MEMORIAL HOSPITAL 500.00 $40,516.39

4/18/2017 PHTLS FUNDING, TECC/TCCC EQUIP CONCORDIA FIRE DEPT 3,000.00 $37,516.39

4/18/2017 RTTDC COURSE AWARD MEMORIAL HEALTH SYSTEMS 451.38 $37,065.01

6/9/2017 CATERING NORTH CENTRAL TRAUMA 5/10/17SALINA REGIONAL HEALTH CENTER 468.30 $36,596.71

6/13/2017 PHTLS/TECC COURSE CLOUD COUNTY EMSA 2,000.00 $34,596.71

6/16/2017 FISCAL AGENT FEE 1/1/18-6/30/18 MITCHELL COUNTY HOSPITAL 1,500.00 $33,096.71

6/16/2017 FISCAL AGENT FEE 1/1/17-12/31/17 MITCHELL COUNTY HOSPITAL 3,000.00 $30,096.71

7/6/2017 REIMB AHEC EXPENSES KUMC AHEC 1,944.10 $28,152.61

8/11/2017 HUGGANS ATLS COURSE CLOUD COUNTY HEALTH CENTER 850.00 $27,302.61

8/11/2017 BEAVERS & WALKER ATLS COURSE REPUBLIC COUNTY HOSPITAL 550.00 $26,752.61

8/15/2017 HUGGAN, BEAVER, WALKER TNCC COURSESALINA REGIONAL HEALTH CENTER 1,500.00 $25,252.61

8/15/2017 SHEERN & HOLMES ATLS COURSE MEMORIAL HEALTH SYSTEMS 1,400.00 $23,852.61

8/15/2017 NILES & SIMESON ATLS COURSE CLOUD COUNTY HEALTH CENTER 1,390.00 $22,462.61

2017 NCR TRAUMA COUCIL February 1, 2017 - January 31, 2018

2016 Carryover Balance $13,256.39

2017-18 Funds $28,335.00

2017 Beginning Balance $41,591.39

Date Expense/Description Check Payable To

Budget

Amount Amount Balance

Invoice

Sent

$41,591.39

System Leadership $1,300.00

$41,591.39

$41,591.39

$0.00

System Development $6,000.00

6/8/17 Symposium Catering Salina Region Health Center $468.30 $41,123.09 X

7/7/17 Con-Ed Materials KU AHEC $1,944.10 $39,178.99 X

$39,178.99

$39,178.99

$2,412.40

System Finance $4,500.00

3/1/17 Fiscal Agent Fee Mitchell County Hospital $3,000.00 $36,178.99 X

1/1/18 Fiscal Agent Fee Mitchell County Hospital $1,500.00 $34,678.99 X

$4,500.00

Public Information & Education

$34,678.99

Injury Prevention & Control $2,500.00

$34,678.99

$34,678.99

Clinical Components

NCKRTC Expenditure Spreadsheet February 1, 2017-June 30, 2018

Administrative Components

Updated 5/18/2017

$0.00

Emergency Preparedness

Prehospital $8,000.00

4/18/2017 PHTLS/TCCC Concordia Fire/EMS 2016 Class $3,000.00 $31,678.99

Jan-Mar 2017 PHTLS/TCCC Concordia Fire/EMS $2,000.00 $29,678.99 X

Apr-Jun 2017 PHTLS/TCCC Concordia Fire/EMS $2,000.00 $27,678.99

Jul-Sep 2017 PHTLS/TCCC Concordia Fire/EMS $2,000.00 $25,678.99

Oct-Dec 2017 PHTLS/TCCC Concordia Fire/EMS $2,000.00 $23,678.99

$8,000.00

Acute Hospital $8,800.00

4/18/2017 ATLS_Garlow Cloud County Health Center 2016 Class $575.00 $23,103.99

4/18/2017 ENPC Smith Co. Memorial Hosp 2016 Class $500.00 $22,603.99

4/18/2017 RTTDC Memorial Health System 2016 Class $451.38 $22,152.61

3/2/2017 ATLS_Beavers (2/10) Republic County Hospital $275.00 $21,877.61 X

3/2/2017 ATLS_Walker (2/10) Republic County Hospital $275.00 $21,602.61 X

3/16/2017 RTTDC (date not yet set) Memorial Health System $1,500.00 $20,102.61

3/16/2017 ATLS_Black (6/1) Memorial Health System $850.00 $19,252.61

3/16/2017 ATLS_Holmes (5/20) Memorial Health System $700.00 $18,552.61 X

3/16/2017 ATLS_Sheern (5/20) Memorial Health System $700.00 $17,852.61 X

3/16/2017 ATLS_Winegarfner (4/13&14) Memorial Health System $850.00 $17,002.61

5/4/2017 ATLS_Huggans (3/9&10) Cloud County Health Center $850.00 $16,152.61 X

5/4/2017 ATLS_Niles-Darrow (7/13&14) Cloud County Health Center $695.00 $15,457.61 X

5/4/2017 ATLS_Simesen (7/13&14) Cloud County Health Center $695.00 $14,762.61 X

5/4/2017 ATLS_Poore (7/13&14) Cloud County Health Center $695.00 $14,067.61

5/5/2015 TNCC (7/18&19) Mitchell County Health System $1,200.00 $12,867.61 X

8/15/2017 TNCC (6/29-30) Salina Regional Health Center $1,500.00 $11,367.61

$11,367.61

$10,785.00

Special Populations

Updated 5/18/2017

Rehab Availability

System Evaluation

Balance $11,367.61

Note-Red text is encumbered funds.

Note-Green text is running total for that line item.

Updated 5/18/2017

NCKRTC

Date Recd

Level IV

Hospital

Submit

to RTC Course Region Organization Contact Name Contact email ATLS Provider Course Location

Course

Date

Requested

Amt Awarded Amt Award Date

Documents

Rec/verif

Date

Payment

Requested Notes

3/2/2017 Y 10-May ATLS NC Republic Co Lisa Meltonlmelton@Rphos

pital.org N Beavers Lincoln NE 2/10/2017 275 275 10-May 3/2/2017 8/10/2017

3/2/2017 Y 10-May ATLS NC Republic Co Lisa Meltonlmelton@Rphos

pital.org A Walker Lincoln NE 2/10/2017 275 275 10-May 3/2/2017 8/10/2017

3/16/2017 W 10-May ATLS NC Memorial Brenda Moffittbmoffitt@mhsks

.org D Sheern Wesley at Hays May 19-20 850 6/15/2017

3/16 Incomplete application. Facility

will advise as soon as determined//

Recd registration docs 6/12 //Recd

verification docs class completion 6/15

//Invoice sent 8/11


.org

S

Winegardner Springfield, MO April 13-14 700 700 10-May

8/11: Sent email requesting copy of

certificaiton card


.org B Holmes 20-May-17 Wesley 850 6/12/2017


will advise as soon as determined//

Recd registration & verification

completion docs 6/12//Invoice sent

8/11


.org T Black Wesley TBD 850 6/12/2017


will advise as soon as determined //

6/12 recd receipt for class and letter

Black completed and passed//8/11 sent

email requesting copy of certificaiton

card

5/4/2017 W 10-May ATLS NC Cloud Co Ali Burchfieldaburchfiel@cchc

.com

Shawna

Huggans Via Christi

3/9-

10/2017 850 850 10-May 5/5/2017 8/10/2017 Verification Recd

5/4/2017 W 10-May ATLS NC Cloud Co Ali Burchfieldaburchfiel@cchc

.com

Chantelle

Niles-Darrow Bryan Medical Ctr

7/13-

14/2017 695 695 10-May 8/15/2017 8/15/2017

8/10 sent email requesting copy of

certification card

5/4/2017 W 10-May ATLS Cloud Co Ali Burchfieldaburchfiel@cchc

.com

Layce

Simesen Bryan Medical Ctr

7/13-

14/2017 695 695 10-May 8/15/2017 8/15/2017

8/10 sent email requesting copy of

certification card

5/4/2017 W 10-May ATLS Cloud Co Ali Burchfieldaburchfiel@cchc

.com Justin Poore Bryan Medical Ctr

9/28-

29/2017 695 695 10-May Award notification sent 8/11

3/16/2017 W 10-May RTTDC NC Memorial Brenda Moffittbmoffitt@mhsks

.org TBD TBD 1500


will advise as soon as determined

5/5/2017 Y 10-May TNCC Mitchell Co Mary Gray [email protected]

om Mitchell Co

7/18-

19/2017 1500 1200 10-May Award notification sent 8/11

5/9/2017 W 9-Aug ATLS Cloud Co Ali Burchfieldaburchfiel@cchc

.com

Brandon

Fraley Wesley at Hays

10/6-

7/2017 850 850 9-Aug Award notification sent 8/11

5/17/2017 Level III 9-Aug TNCC NC Salina Regional Kathy Pike [email protected] Salina

June 29-

30/2017 1500 1500 9-Aug 8/10/2017 8/11/2017

All documents received, invoice sent

8/11/2017

6/12/2017 W 9-Aug TNCC NC Memorial Brenda Moffittbmoffitt@mhsks

.org Salina TBD $1,000.00 800 9-Aug

6/12 Application for 4 nurses to attend

varoius classes $250 for each nurse

total $1,000. note to Brenda to advise

who will be attend and dates attending.

Sent 2nd email asking for

clarificaiton/copies of certification

cards 8/11

6/13/2017

Pre-

Approve

d

PHTLS/

TECC NC

Concordia

Fire/EMS Eric Vossfirechief@conco

rdiaks.org Concordia

May 16-

17/2017 $2,000 $2,000 6/13/2017 6/13/2017 6/13/2017

Needed additional info, attached email

from Eric

6/28/2017 9-Aug TNCC NC

Ellsworth Co

Med Ctr Beth Vallierbvaliier@ewmed

.com Ellsworth

Oct 17-

18/2017 $1,000 1000 9-Aug Award notification sent 8/11

Process complete

Application Withdrawn/Denied

Course is pending completion

mailto:[email protected]

































Kansas Trauma Program Grant Funding

The Kansas Trauma Program provides grant funding for training and certification of

professionals.

Mission: Promote the reduction of human suffering and associated costs by matching patient needs to medical resources; increasing public and professional injury education; and identifying standards for quality care of the injured. Vision: Ensure a healthier and safer Kansas through the reduction of death, disability, suffering and costs associated with human injury by developing standards for quality care, mapping healthcare resources, and educating the public and health professionals. Purposes for the Kansas Trauma Grant

The purpose of the grant is to reimburse costs for trauma specific educational opportunities that

facilitate a stronger trauma system. Educational offerings should occur within the Kansas State

Trauma System when possible. Explanation for going out of state is required. A proposal of

projected educational needs is requested by March 1st of the funding year. Applications after

March 1st will be considered on a by request basis.

Focus areas for the Kansas Trauma Grant:

Credentialing o Increased number of certified trauma professionals

Trauma Leadership Training o Professional and System development

Conferences o National or state level conferences related to trauma or injury prevention

Application Process

Organizations will submit an application outlining educational needs and demonstrating how the

request will correlate to the Kansas Trauma program.

Reporting Requirements

Organizations selected for the Kansas Trauma grant must submit a final report, detailing

expenditures and outcomes, to include a copy of original brochure and a copy of completion

certificate, if applicable. Reports are due within 30 days of the grant funded event.

Funding Specifics

Funding of requests will be based on a set fee of $150 per participant per event with a

maximum of $1500 per organization. ATLS will be reimbursed at a rate of $650 per participant.

Kansas Trauma Program Funding Request

Revised 9/21/2017

1

Trauma Education Funding Request Kansas Trauma Program

FACILITY / ORGANIZATION NAME: ______________________________________________

CONTACT NAME: ______________________________ PHONE: _______________________

EMAIL ADDRESS: ____________________________________________________________

MAILING ADDRESS: __________________________________________________________

CITY: __________________________ STATE/COUNTRY: ________________ ZIP: _________

WHICH REGIONAL TRAUMA COUNCIL ARE YOU A MEMBER OF?

NEKRTC □ NCKRTC □ NWKRTC □ SEKRTC □ SCKRTC □ SWKRTC □

Program Information (Describe the funding opportunity)

Eligible Applicants (List eligibility or credentialing requirements)

Request Summary (Details of funding request—type of certification, number of

attendees, etc)

Statement of Need (Why is the funding needed (i.e., start up costs, restricted training

budget, etc)

Relevance to Mission and Goals of the Kansas Trauma Program (How will this activity

support the mission of the Kansas Trauma program)?

Kansas Trauma Program Funding Request

Revised 9/21/2017

2

FUNDING REQUEST DETAILS:

1. Organizational Type:

Hospital EMS Health Department Other Describe

2. Are you affiliated or partnered with a Trauma Center? Yes No Letter of Intent

3. Location of primary organization?

Rural < 10,000 Rural > 10,000 Urban

4. Describe participation in the Trauma program?

Active ( > 6 events/yr) Moderate ( > 3 events/yr.) Mild (< 3 events/yr.) Inactive

5. Describe type of education event and credentials of those attending the event being funded.

Trauma specific certification Trauma leadership or other trauma related course Trauma conference Trauma CEU Teambuilding or Leadership Training

6. Other Considerations: explain other fund requests not mentioned above or any out of state funding requests.

Budget

Categories Cost Per

Unit

# of

Units KTP Funds Requested

In-Kind

Contribution(s)

Total Cost

Certification

ATLS

TNCC

PHTLS

Conference

Training

Other

Totals

Kansas Trauma Education Fund

Developed: 07-12-2017

1

FACILITY / ORGANIZATION NAME: _________________________________________________

CONTACT NAME: ________________________________ PHONE: _______________________

EMAIL ADDRESS: _______________________________________________________________

MAILING ADDRESS: ____________________________________________________________

CITY: __________________________ STATE/COUNTRY: __________________ ZIP: _________

WHICH REGIONAL TRAUMA COUNCIL ARE YOU A MEMBER OF?

NEKRTC □ NCKRTC □ NWKRTC □ SEKRTC □ SCKRTC □ SWKRTC □

The application received the following point allocation: ORGANIZATIONAL SCORE _____

FUNDING REQUEST SCORE _____

COMBINED SCORE (Max 60) _____

Trauma Education Funding Request Scoring Matrix

Kansas Trauma Program

Application: Recommended for Funding Not Recommended for Funding Comments:

Signature: ______________________________________________ Date: _______________

Printed Name: __________________________________________



2

Reviewer: Please highlight the corresponding point value for each question of the Funding

Request application. Total the points at the bottom of each page and input on page 1.

Organizational Profile Review: SCORE

1. Organization Type a. Hospital 10

b. EMS 7

c. Health Department 5

d. Other -Describe 3

2. Are you affiliated or partnered with a Trauma Center? a. Letter of Intent on file 5

b. Yes 3

c. No 0

3. Location of primary organization? a. Rural < 10, 000 10

b. Rural > 10,000 7

c. Urban 3

4. Trauma Registry, State or National Data Reporting Current (within the past 12 months)? a. Yes 10

b. No- Letter of Intent on File 5

c. No 0

5. Participation in the Trauma program? a. Active (6 or more events/year) 10

b. Moderate (3 or more event/year) 5

c. Mild (< 3 event/year) 3

d. Inactive 0

Organizational Subtotal: _________________



3

Request for Funding: SCORE

1. Educational Event? a. Trauma specific certification 10

b. Trauma Leadership or Other Trauma related courses 8

c. Trauma Conferences 5

d. Trauma CEU -- Describe 3

e. Teambuilding or Leadership Training - Describe 1

f. Offered in Kansas but choose an out of state venue 1

2. Type of Certification Course?

a. ATLS

i. MD/DO 5

ii. APRN/PA 2

b. TNCC

i. RN 5

ii. LPN 2

iii. Paramedic 2

iv. EMT 1

c. PHTLS

i. Paramedic 5

ii. EMT 5

d. Instructor course for trauma certification courses 5

e. Instructor course for Injury Prevention Program 5

3. Trauma Leadership or Other Trauma Related Course? a. TOPICS 2

b. Registry related courses 2

c. Rural Trauma courses 2

d. After Resuscitation Care 2

4. Trauma Related Conferences a. National or Multi State 1

b. State 1

c. State Regional or Local 1

5. Other Trauma Related Requests? a. Describe 2

Funding Request Subtotal: _________________

Kansas Trauma Program Policy Document: September 30, 2014

1

Introduction

The purpose of Trauma System Performance Improvement is to protect the public by assuring

optimal trauma system operation and high quality trauma care resulting in the best possible

patient outcomes for those injured in Kansas. This document is to serve as a policy guide for the

regional trauma councils when functioning as a peer review committee for purposes of trauma

system performance improvement.

A continuous, comprehensive, multi-disciplinary, evidence-based, performance improvement

process promotes monitoring and evaluation of the trauma system; identification of opportunities

for improvement; and development of corrective strategies. Performance improvement is an

essential component of the Kansas Trauma System.

An objective of trauma system performance improvement is to decrease unnecessary death and

disability by identifying trauma system issues, reducing inappropriate variation in care, and

assuring that expectations, standards and benchmarks are met. When a reoccurring problem,

sentinel event, or inappropriate variation occurs, improvement initiatives or actions are

developed to increase the effectiveness and efficiency of care, and maximize patient outcomes.

The trauma system performance improvement process consists of three major elements: 1)

ongoing data collection, monitoring, and analysis of trauma data at the local, state and national

level to identify trends, gaps and needs; 2) the internal performance improvement process

occurring within each hospital; 3) the external process through trauma center designation and

regional trauma system performance improvement. The intent of this document is to outline and

define the process of regional trauma system performance improvement utilized by the Advisory

Committee on Trauma ACT and Regional Trauma Councils.

Trauma System Performance Improvement

1) Internal Performance Improvement:

Each trauma center must have for its trauma service a formal and fully functional Performance

Improvement and Patient Safety (PIPS) program (validated by the American College of

Surgeons for Levels I, II and III centers: and by the Kansas Trauma Program for Level IV

centers). As such, each trauma center will have a written performance improvement plan which

describes this program.

The trauma medical director at each institution will be responsible for maintaining accepted

standards of trauma care.

As part of the internal performance improvement process, each trauma center will perform its

own case reviews and focused audits to identify specific issues or trends and develop appropriate

actions to address identified issues. It is then the responsibility of the respective trauma medical


2

directors and trauma program managers to identify all trauma cases (including all trauma deaths)

that meet the trauma system minimum audit criteria for external performance improvement

review. The list of audit criteria (Appendix A) will be reviewed annually by the ACT and

Kansas Trauma Registry (KTR) policy committee.

2) External Performance Improvement:

The trauma system performance improvement process is designed to recognize the

interdisciplinary nature of trauma care and includes a) trauma center designation and b) Regional

Trauma Committee Performance Improvement and Patient Safety (PIPS) program process.

a) Trauma Center Designation:

Verification/Designation of Trauma Centers: Hospitals may voluntary chose to become state

designated trauma centers. As part of this process, on-site reviews will be conducted every

three years by out of state trauma system specialists from the American College of Surgeons

to allow for independent evaluation to verify an institution’s Level I, II or III capabilities and

performance as a trauma center based on the criteria contained in the most current

“Resources for Optimal Care of the Injured Patient” document. The reviews are designed to

evaluate the quality of care rendered by the trauma center and to assess the trauma center’s

participation in the overall effectiveness of the trauma system. As part of the Level IV

designation process, Kansas Trauma Program will schedule an on-site review team to assist

Level IV centers with the process for trauma case reviews.

RTC Performance Improvement Process:

The cornerstone of the regional performance improvement process is the RTC PIPS. This

multidisciplinary review body is established by each RTC as a peer review committee. Each

RTC PIPS will meet regularly and review trauma cases to evaluate system issues relative to

trauma care in the region, monitor trends in system performance and make recommendations

for system improvements so as to assure optimal care delivery. The focus of the regional

PIPS should be on education and system improvements. Each regional PIPS will work

in collaboration with its RTC and the Advisory Committee on Trauma (ACT) to

provide an educational forum at the annual membership meetings to discuss regional

system improvements. Annual RTC meetings will be structured to allow members an

opportunity to provide input on future projects and make suggestions for benchmark

data which could be used to help improve trauma system care.

Credentialing:

Individuals participating in the PIPS committee must be an active provider of trauma care

in the region and have completed an approved performance improvement outcomes class.


3

PIPS Review Process

The PIPS review is a three stage process: 1) Identification of cases for possible review; 2) Initial

screening by a pre-PIPS screening team; 3) the PIPS review.

Identification of Cases for Possible Review:

The first step in the PIPS peer review process is the identification of cases for review. Based

upon the guidelines for trauma case selection, as recommended and approved by the ACT, the

trauma program medical directors/trauma coordinators at each trauma center will submit cases,

that have been redacted to protect the peer review process, to the pre-PIPS screening team.

(Appendix A)

The Kansas peer review statute (K.S.A. 65-4915) provides that reports, statements, memoranda,

proceedings, findings and other records submitted to or generated by peer review committees or

officers shall be privileged and not subject to discovery, subpoena or other means of legal

compulsion for their release. A “peer review committee” is a committee engaged by a health

care provider group and authorized to perform peer review. Included among the various

types of “health care provider groups” is an organization of health care providers formed

pursuant to state law and authorized to evaluate medical and health services.

The Advisory Committee on Trauma (ACT) and the regional trauma councils (RTCs),

authorized under K.S.A. 75-5664 and K.S.A 75-5665 to address systemic issues in the delivery

of trauma care throughout Kansas, are such and may be considered health care providers groups.

A committee of either the ACT or the RTCs, established for the purpose of evaluating and

improving the quality of trauma services, would be considered a peer review committee

and be granted the privileges afforded such a committee. K.S.A. 2011 Supp. 65-4915.i

The trauma medical director or trauma coordinator at a facility will complete pre-PIPS case

summaries following a uniform format that protects the peer review process (Appendices B and

C). The pre-PIPS case summaries will be submitted to the Kansas Trauma Program which will

distribute the case summaries to the pre-PIPS screening team. All cases submitted to the Kansas

Trauma Program will be screened at the quarterly regional pre-PIPS meeting.

Membership of the Pre-PIPS Screening Team:

The Executive Committee of the RTC shall appoint the membership of the Pre-PIPS screening

team. Members of the pre-PIPS shall have a term of one year and should not be appointed for

consecutive terms. Membership should include:

1) At least one trauma medical director;

2) A trauma program coordinator or trauma team leader;

3) EMS agency medical director;

4) Non-trauma center hospital physician representative;

5) Kansas Trauma Program representative.


4

Initial Screening by a Pre-PIPS Screening Team:

The pre-PIPS will perform the initial screening of trauma cases that meet the criteria for further

review or have special educational or scientific value. When cases are screened, the pre-PIPS

will identify specific issues for review, and if necessary, seek additional information from the

respective hospital, trauma or EMS medical director so it can prepare the cases for review by the

PIPS. The selected cases are then forwarded to the Kansas Trauma Program for review by the

PIPS.

The pre-PIPS shall refer to the RTC PIPS the following categories of cases.

1) Cases identified as unanticipated or anticipated mortality with opportunity for system

improvement by individual trauma center PIPS programs.

2) Other potential areas for PIPS review include:

a. Patients whose transfer times were greater than 6 hours

b. Patients who were transferred to more than 1 hospital prior to arrival at final

trauma center destination

3) Other cases for review might include the following

a. Deaths which occur at a late post-acute injury phase

b. Patients having been in the hospital for an extended period of time prior to death

(See Appendix A for other case criteria.)

Preparing Cases for Regional PIPS:

The Kansas Trauma Program will notify a trauma center if any additional documentation needs

to be provided at the PIPS meeting. The pre-PIPS case summaries will be utilized by the Kansas

Trauma Program to prepare the agenda for the PIPS meeting. If the pre-PIPS screening team

determines that a case requires a review by a specialist in a particular field of health care, it will

recommend to the RTC PIPS that a peer review officer be appointed to examine the case and

report to the PIPS.

Regional PIPS Committees:

Each RTC PIPS is a multidisciplinary peer review committee comprised of representatives as

outlined in Appendix D. Additional RTC information may be found on the web site:

www.kstrauma.org.

The RTC PIPS is designed to evaluate and improve trauma system care by conducting detailed

mortality and morbidity review of cases that meet one or more of the audit criteria, that have

exceptional educational or scientific benefit, or that involve system issues which require

discussion or resolution. The PIPS, functioning as a peer review committee of the regional

trauma council, will discuss the quality and efficiency of the regional trauma system, review

trauma system care rendered by provider organizations and will make trauma system

recommendations to RTCs.

http://www.kstrauma.org/


5

Committee Meetings:

The PIPS shall meet no less than quarterly at times established by the RTC PIPS chair and the

Kansas Trauma Program. Meetings will follow a structured format and an agenda prepared by

KTP staff in collaboration with the PIPS chair. (Appendix E). The business of the PIPS should

be conducted in private to preserve the confidential nature of the proceedings if the identity of an

individual or facility will be discussed. Only persons with cases before the PIPS committee

should be invited and permitted to attend in those circumstances The KTP staff member should

record the findings/recommendations of the PIPS committee after its deliberations.

Case Presentation:

Individual trauma centers categorize deaths per the Trauma Medical Director’s review of the

management of the case as (1) unanticipated mortality with opportunity for improvement, (2)

mortality without opportunity for improvement or (3) anticipated mortality with opportunity for

improvement. The trauma centers may forward cases with unresolved questions or insufficient

information to determine a mortality category to the PIPS for review and mortality category

determination via the pre-PIPS committee. Any cases found to have opportunities for system

improvement, regardless of patient outcome, should be forwarded to the pre-PIPS committee.

The PIPS chair will facilitate the meeting, including data review, any case reviews, discussions,

recommendations or judgments. Kansas Trauma Program staff will document the proceedings

and are responsible for storage of the information.

The Trauma Medical Director or a designee will present each case and respond to questions and

comments related to the case. Case presentations should include all pertinent clinical data and

other essential information and materials necessary. Comments may be solicited from the expert

members of the PIPS in fields such as emergency medicine, pathology, neurosurgery, anesthesia,

radiology, internal medicine, orthopedic surgery, family medicine, and trauma nursing.

The comments and recommendations of the experts will be included in the PIPS summary of the

presented case with the same requirement for action, follow-up or subsequent further review of

the PIPS as any other case.

In cases where the issue is resultant patient morbidity, the System Classifications (Appendix F)

should be utilized in determining the morbidity categorization.

PIPS may require a detailed presentation of any death identified from the review summaries of

trauma-related deaths. A review of a death case where the autopsy is unavailable may be

postponed until the autopsy report is available. Guidelines relative to reviews of trauma-related

deaths are contained in the Guideline for Judgment Concerning Mortality. (Appendix G).

Finalization of Case Review:


6

At the conclusion of each case review, the PIPS members will discuss the case and provide

comments and/or recommendations to consider for trauma system performance improvement.

System Improvement Opportunities:

Kansas Trauma Program will monitor the findings of the RTC PIPS to identify trauma system

trends or items which may need further action in the form of recommendations to the ACT,

procedure or protocol recommendations, regulation changes or referral of issues to the ACT. It

is recommended a process or score card be developed to monitor trends.

Copies of the case summaries, together with the recommendations for action and the comments

of the PIPS, will be documented, reviewed and monitored for significant trending by the ACT

and Kansas Trauma Program.

Feedback to the non-trauma center hospitals is critical to the performance improvement process

for the trauma system. A trauma medical director whose catchment area covers the particular

non-trauma center hospital will be appointed to serve as the liaison primarily responsible for

providing this feedback.

Re-Monitoring (Loop-closure):

An essential component of performance improvement is demonstrating that any event resolutions

has the desired effect. The RTC PIPS shall conduct a re-monitoring review to evaluate the

effectiveness of any actions taken to ensure the issue has been eliminated or satisfactorily

reduced. This evaluation should occur within three to six months of the correction action

depending on the issue and be thoroughly documented in the PIPS minutes. Documentation

should include the following aspects of follow-up and re-evaluation:

1) The time frame for problem follow-up

2) The assignment of expectation indicators or special study to review the problem

3) The documentation of findings and any need for continued action

4) Status of the problem until resolution is verified

Documentation and Reporting:

Performance improvement includes complete, accurate, and confidential documentation of

ongoing monitoring, event resolution, progress and re-evaluation. It is important that the PIPS

committee members understand Kansas law governing peer review and take appropriate

measures to protect performance improvement records and review proceedings from disclosure.

The following measures should be used to protect performance improvement information: Keep

all performance improvement information in a locked file cabinet.

1) Require all participants in performance improvement activities to execute a

confidentiality statement/agreement such as appears in Appendix H.

2) Apply sanctions for any breaches of confidentiality.


7

3) Shred all copies of performance improvement documentation when review is

complete.

4) Apply security efforts at performance improvement meetings, such as numbering and

collection of all papers.

5) Use of security procedures when emailing, mailing or transmitting performance

improvement documentation. Address all correspondence to specific persons.

Clearly mark all letters “confidential”. Remove all patient identifiers, dates, and

locations of scenes from information. Require staff standby at the receiving facsimile

when faxing performance improvement documents.

6) Notations or citation of relevant statutory protection is on all printed performance

improvement materials including emails.

Kansas Trauma Program staff will document the matters that are presented to the RTC PIPS.

Such documentation will include summaries of the issue, the case presentation, the committee

discussion and the proposed improvement action. A tracking form (Appendix H) or similar tool

may be used to track the problem through committee review, hospital or agency follow-up,

action plan implemented and problem resolution. Case summaries shall be distributed to RTC

PIPS members only at its next meeting for concurrence. Copies of the case summaries are

confidential and, if retained, shall be kept in a secure manner. The original case summary shall

be maintained by the KTP staff member in a secure manner.

An annual report of a region’s overall performance that includes benchmarking

accomplishments, resource utilization, preventability and other measures of outcome will be

prepared jointly by the Kansas Trauma Program and each RTC PIPS committee. This report will

include a description of a region’s successes or failures to resolve identified problems.

Confidentiality:

Kansas trauma statute (cf., K.S.A. 75-5665 and 75-5666) provides peer review protections to the

regional trauma councils and the Advisory Committee on Trauma when reviewing incidents of

trauma injury or trauma care.

All individuals including KTP staff participating in a pre-PIPS or PIPS meeting will be required

to sign a confidentiality statement prior to commencement of the meeting. (Appendix H)


8

APPENDIX A

GUIDELINES FOR TRAUMA CASE SELECTION

These guidelines are used to assist in selecting trauma cases that involve treatment issues, system

performance issues, or recommendations for system improvement.

The Trauma Medical Director and/or Trauma Program Manager at each trauma center or hospital

may identify cases (by audit criteria, by action of hospital/trauma QI program and processes, etc.)

that need to be reviewed by the trauma system PIPS process utilizing the following guidelines:

Unanticipated mortality with opportunity for system improvement, or anticipated mortality

with opportunity for system improvement as identified by individual trauma center PIPS

programs

Other potential areas for PIPS review include:

o Patient outcomes impacted by trauma system

o Trauma transfers greater than 6 hours

o Trauma transfers to more than 1 hospital prior to reaching final destination.

o Any case with educational value

o All cases with system related issues including pre-hospital care issues

o Cases identified by review of the Medical Examiners Reports

o Unexpected Saves

o Cases with unresolved questions or insufficient information to determine a

mortality category for which the hospital/trauma center would like assistance with

making a mortality category determination

Cases which fall within these guidelines should have the case summary documentation (Appendix B

or C) completed for the pre-PIPS.


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APPENDIX B

TRAUMA CENTER CASE SUMMARY REVIEW FOR PRE-PIPS

This document, and any attachments and correspondence related to it, are part of the process to

monitor, evaluate, review and report on the necessity, quality and level of patient care management

provided a trauma patient. As such, this document, and such attachments and correspondence, are

confidential and may be disclosed only necessary, and only to the extent necessary, to protect the

public health and to support quality improvement as defined in K.S.A. 65-4914,65-4915, 65-

4925 and 75-5666 and amendments thereto.

Trauma Registry No:

Date of Admission: Date of Discharge:

Age: Sex: ISS: Ps:

Death: YES NO Judgment (if applicable):

Reason for Review: (Will provide check list from Appendix D here)

Type of Incident / Mechanism:

Discharge Diagnosis:

Pertinent Clinical Data (i.e., Lab, X-Ray, ABG, etc.):

Surgical Procedures (Date / Procedure):

Complications:

Comments (Including QA, Pre-Hospital, Hospital):

Autopsy Findings (if applicable):

Evaluation of Care Rendered:


10

APPENDIX C

NON-TRAUMA CENTER HOSPITAL CASE SUMMARY





public health and to support quality improvement as defined in K.S.A. 65-4914,65-4915,

65-4925 and 75-5666 and amendments thereto.

Case Number:

Date of Admission: Date of Discharge:

Age: Sex: ISS: Ps:

Death: YES NO Judgment (if applicable):

Reason for Review: (Will provide check list from Appendix D here)

Mechanism / Type of Incident:

Discharge Diagnosis:

Pertinent Clinical Data (i.e. Prehospital vital signs, arrival vital signs, admission lab, ABG, etc.):

Procedures:

Complications:

Comments (Including QI/PI, Pre-Hospital, & Hospital):

Autopsy Findings:


11

Narrative Summary:

Evaluation of Care Rendered:


12

Appendix D

Performance Improvement and Patient Safety (PIPS)

1) The Performance Improvement and Patient Safety (PIPS) committee shall meet no less

than quarterly as a peer review committee, to review, monitor and evaluate trauma

system performance and make recommendations for system improvements. The PIPS, in

functioning as a peer review committee derives its authority and privilege from K.S.A.

65-4915.

2) The functions of the PIPS shall include, but not be limited to:

a. Participation in the development, implementation and evaluation of audit criteria;

b. Review and evaluation of aggregate data related to trauma care in their region;

c. Review of selected trauma deaths and other selected cases in the region;

d. Participation in the design and monitoring of quality improvement strategies

related to the trauma care system; and

e. Participation in research projects.

3) The executive committee of each RTC shall appoint the membership of the PIPS. The

executive committee shall strive to ensure a broad representation of health care

disciplines on the committee.

a. PIPS membership should include at least the following:

i. A trauma medical director;

ii. A trauma program coordinator;

iii. A physician from a Level VI trauma center or from a non-trauma center;

and

iv. An EMS representative.

b. Others members of the PIPS may include:

i. A county medical examiner;

ii. A neurosurgeon;

iii. An anesthesiologist;

iv. An orthopedic surgeon;

v. An emergency physician;

vi. A medical director from an air medical service;

vii. A medical director EMS services;

viii. An EMS service director; or

ix. Other health care professional the executive committee deems necessary.

4) The RTC, as a health care provider group, may appoint or designate an individual with

specialized expertise to serve as an independent peer review officer, authorized to


13

perform peer review, pursuant to K.S.A 65-4915(a)(4)A), or as an ad hoc member of the

PIPS. The RTC may refer specific incidents of trauma injury or trauma care to this peer

review officer who shall review such incidents and submit a report to the RTC on the

results of their investigation and include any recommendations for system changes in the

delivery of trauma care within the region.

5) Members of the PIPS shall serve one (1) year terms concurrent with the term of the RTC.

A member can be reappointed for multiple terms. Members’ terms should be staggered.

The process for staggering member terms shall be determined by the Executive

Committee of each RTC and included in its by-laws.

6) The PIPS shall elect a chair and vice-chair annually at its first meeting.

7) Attendance

a. Attendance at the meetings for the PIPS is mandatory. After two (2) consecutive

absences in a year, a member may be replaced.

b. Resignations from the PIPS shall be submitted, in writing to the Kansas Trauma

Program to the attention of the respective RTC.

8) The chair of the PIPS should attempt to obtain a consensus on matters brought before the

PIPS. If consensus cannot be attained, the chair may call for a vote among the members

of the PIPS. A majority of members present at a PIPS vote shall carry the matter.

9) Minutes will be kept by Kansas Trauma Program and distributed to members at each

meeting.

10) Determinations by the PIPS on system-wide improvements will be approved by the PIPS

members and forwarded to the RTC and, if necessary, to the ACT for consideration.

11) All proceedings, documents and discussions of the PIPS, in functioning as a peer review

committee, are confidential and are covered under K.S.A. 65-4915. The privilege

relating to discovery of testimony provided to the PIPS shall be applicable to all

proceedings and records of the PIPS which purpose is to review, monitor, evaluate and

report on trauma system performance.

All members shall sign a confidentiality agreement (Appendix H) not to divulge or

discuss information that would have been obtained solely through PIPS meetings.


14

PIPS PROCESS ALGORITHM

Cases are identified by a hospital trauma medical director, trauma

coordinator, EMS or KDHE for review based on Guidelines for Trauma Case

Selection (Appendix A) and prepare case summaries. (Appendix B or C)

Case summaries are submitted to KDHE Trauma Program so case materials can

be organized and an agenda can be prepared.

Pre-PIPS screening team meets to review cases and selects cases which should

be submitted to the PIPS.

Based on case summaries forwarded from the pre-PIPS, the Kansas Trauma

Program prepares the agenda and meeting materials for the PIPS.

PIPS meets to review cases, make judgments and recommendations, if

necessary.

Kansas Trauma Program maintains records of proceedings, monitors PIPS

activities for systems issues or trends, and provides feedback for recommended

changes to improve the trauma system.


15

APPENDIX E

RTC PIPS Agenda Format

1) Call to Order- Confidentiality Statement

2) Approval of Minutes

3) New Business

4) Motion/Vote to Enter Closed Session

5) Peer Review

A. Regional Coordinator Report

B. Coroner’s Report

C. Review of Death Data Analysis

D. Case Presentations – only those individuals pertinent to a case shall be present

i. CASE A

ii. CASE B

iii. CASE C

iv. Categorization

v. Finalization of Case Review

E. Loop closure/Follow up from previous cases

6) Open Session

7) Adjournment


16

APPENDIX F

System Classifications

1. Impact: the outcomes or effects of medical error and systems failure commonly referred to as

harm to the patient.

2. Type: the implied or visible processes that were faulty or failed.

3. Domain: the characteristics of the setting which an incident occurred and the type of

individuals involved.

4. Cause: the factors and agents that led to an incident.

5. Prevention and Mitigation: the measures taken or proposed to reduce the incidence and

effects of adverse occurrences.


17

APPENDIX G

Guidelines for Judgment Concerning Mortality

1. Impact: the outcomes or effects of medical error and systems failure commonly referred to as

death of the patient.

2. Type: the implied or visible processes that were faulty or failed.

3. Domain: the characteristics of the setting which an incident occurred and the type of

individuals involved.

4. Cause: the factors and agents that led to an incident.

5. Prevention and Mitigation: the measures taken or proposed to reduce the incidence of

adverse occurrences.

Mortality with opportunities for improvement

Mortality without opportunities for improvement.


18

APPENDIX H

(Insert RTC Name) Kansas Performance Improvement/Patient Safety Committee

CONFIDENTIALITY STATEMENT/AGREEMENT MEDICAL PEER REVIEW

DATE & TIME INSERT HERE

Confidential under Kansas Statutes Annotated 65-4915

The undersigned participants of the Performance Improvement/Patient Safety Committee meeting individually agree to hold in strict confidence, and to not disclose any information, data, documentation, and discussion occurring at or resulting from this meeting. No information shall be discussed with or disclosed to any person or entity outside this meeting, except as agreed to by the attendees for the purposes of follow-up, resolution or systems design changes. Failure to observe the confidentiality of this meeting and the peer review process jeopardizes the continued existence and confidentiality of future meetings and the peer review process.

YOUR SIGNATURE BELOW WILL INDICATE YOUR ACKNOWLEDGEMENT AND ACCEPTANCE OF THIS AGREEMENT AND THE OBLIGATION OF FULL CONFIDENTIALITY.

Name (Please Print) Signature Organization


19

APPENDIX I

TRAUMA PIPS COMMITTEE





public health and to support quality improvement as defined in K.S.A. 65-4915,75-5665 and 75-

5666 and amendments thereto.

Mortality/Morbidity Case Review PIPS Meeting Date:

Reviewer: Chart Review Month:

Trauma Center: Trauma Center Deaths:

CASE

NUMBER

REASON

FOR

REVIEW

COMMENTS/

DISCUSSION

ACTION FOLLOW-UP

Kansas Trauma Registry

Based on hospital reports as of:

Hospitals City 1st Quarter

2nd

Quarter 3rd Quarter 4th Quarter 1st Quarter

2nd

Quarter 3rd Quarter 4th Quarter

Clay County Medical Center Clay Center Y Y Y N N

Cloud County Health Center Concordia Y Y N N N

Ellsworth County Hospital Ellsworth Y Y Y Y Y

Herington Municipal Hosp Herington Y Y Y Y Y

Jewell County Hospital Mankato Y Y Y Y Y

Lincoln County Hospital Lincoln Y Y Y Y Y

Memorial Hospital - Abilene Abilene Y Y Y Y Y

Mitchell Co Hosp Health Systems Beloit Y Y Y Y Y

Osborne County Memorial Hospital Osborne Y Y Y Y Y

Ottawa County Health Center Minneapolis Y Y Y Y Y

Republic County Hosp Belleville Y Y Y Y Y

Salina Regional Health Center Salina Y Y Y Y Y

Smith County Memorial Hosp Smith Center Y Y Y Y Y

Total Number Hospitals Trained 13 13 13 13

Number Reporting 13 13 12 11

Submission Rate 100% 100% 92% 85%

Source: Bureau of Community Health Systems

2017

Data Submission Results - North Central Region 1

2016

Friday, June 02, 2017




2nd


2nd


Clay County Medical Center Clay Center Y Y Y N N

Cloud County Health Center Concordia Y Y N N N

Ellsworth County Hospital Ellsworth Y Y Y Y Y

Herington Municipal Hosp Herington Y Y Y Y Y

Jewell County Hospital Mankato Y Y Y Y Y

Lincoln County Hospital Lincoln Y Y Y Y Y

Memorial Hospital - Abilene Abilene Y Y Y Y Y

Mitchell Co Hosp Health Systems Beloit Y Y Y Y Y

Osborne County Memorial Hospital Osborne Y Y Y Y Y

Ottawa County Health Center Minneapolis Y Y Y Y Y

Republic County Hosp Belleville Y Y Y Y Y

Salina Regional Health Center Salina Y Y Y Y Y

Smith County Memorial Hosp Smith Center Y Y Y Y Y

Total Number Hospitals Trained 13 13 13 13 13 13 13 13

Number Reporting 13 13 12 11 11 0 0 0

Submission Rate 100% 100% 92% 85% 85% 0% 0% 0%


Thursday, July 06, 2017

2017


2016




2nd


2nd


Clay County Medical Center Clay Center Y Y Y Y Y Y

Cloud County Health Center Concordia Y Y Y Y Y Y

Ellsworth County Hospital Ellsworth Y Y Y Y Y Y

Herington Municipal Hospital Herington Y Y Y Y Y N

Jewell County Hospital Mankato Y Y Y Y Y Y

Lincoln County Hospital Lincoln Y Y Y Y Y Y

Memorial Hospital - Abilene Abilene Y Y Y Y Y Y

Mitchell Co Hosp Health Systems Beloit Y Y Y Y Y Y

Osborne County Memorial Hospital Osborne Y Y Y Y Y Y

Ottawa County Health Center Minneapolis Y Y Y Y Y Y

Republic County Hospital Belleville Y Y Y Y Y Y

Salina Regional Health Center Salina Y Y Y Y Y Y

Smith County Memorial Hospital Smith Center Y Y Y Y Y N

Total Number Hospitals Trained 13 13 13 13 13 13 13 13

Number Reporting 13 13 13 13 13 11 0 0

Submission Rate 100% 100% 100% 100% 100% 85% 0% 0%


Thursday, September 07, 2017

2017


2016

North Central Regional Trauma Council2017/10/10 · North Central Regional Trauma Council Executive...

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